Individual provider · Type 1 NPI
Monette Marie Shuutleworth, DDS/PERIODONTIST
Periodontics · Washington, DC
NPI number
1417030495
Active
Practice location
5225 Wisconsin Ave NW Suite #511
Washington, DC 20015
Fax (240) 314-7199
Mailing address
25 Rich Branch Ct
Gaithersburg, MD 20878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 10006 (MD) |
| Periodontics | 1223P0300X | 5207 (DC) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1417030495
Monette Marie Shuutleworth, DDS/PERIODONTIST's National Provider Identifier is 1417030495, issued on Oct 23, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Washington, DC. The record was last updated on Oct 1, 2008.